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1336125053
WENDY E WIESE
FOND DU LAC, WI
NPI
1336125053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 147926)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
-- WENDY E WIESE CRNA
430 E DIVISION ST SUITE 4
FOND DU LAC, WI 54935-4560
Phone number: 920-926-2300
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Mailing Address
-- WENDY E WIESE CRNA
420 E DIVISION ST SUITE 4
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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